The URL can be used to link to this page

0351 (COMB)PERMIT APPLICATION City of La Ouinta Department of Building and Safety This permit.becomes void it work not commenced within 180 days from date of issuance. OR, if work has been suspended or abandoned for a period of 180 days.' LICENSED CONTRACTORS DECLARATION: I hereby affirm that Iam licensed under provisions of Chapter •9 ' -(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force + and effect. �1 License Class Lic. Number 32 1 i `► P, Date ! t� - 7. 7 - '• oa Contractor- V W-.. i Z ;,li L2.4 C. OWNER -BUILDER DECLARATION` I hereby affirm that'l am exempt from"the' Contractor'slicense Law for the following reason.(Sec. 7031.5. Business and Professions Code: Any city.or county•which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law • (Chapter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code) or that heis exempt therefrom and the basis for the alleged exemption. Any violation;of Section 7031.5 by any applicant for a permit - subjects the applicant to a civil penalty of not more than. five hundred dollars ($500.): O 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the.• structure is not intended or offered for.sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds, or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale: ll, however, the building orimprovemntissold within one year ofcompletion, the owner -builder will have the burden of proving that he did not bui14 or improve for the purpose of sale.). O 1, as owner of the property, am exculsively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to. the " Contractor's License Law.). L ❑ 1 am exempt under Sec:' B. 8 P.C. (Attached Certificate). Date Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance', or a certified copy thereof (Sec. 3800. Lab. C.). Policy No. Company O Certified copy is, hereby furnished. ❑ Certified copy is filed with the City Building Inspection Department or City Department. Date Applicant APPLICANT NAME (L. F. MI( ' Dr. Donald M. chssa&v ADDRESS 45-140 Oasis CITY/COM MUN ITY/STATE/ZIP Indio, CA 92201 'D178-40BI�*way 111 CITY/COMMUrjITY/STATE/ZIP La Quinta, CA 92253 BOK PAG PRC C Mechanical Fee TWN- RNG SE S TRACT LOT 44.12 ,Plumbing Fee MOD SB TRACT NAME OWN,_,SR NAME,hS MI__ J CONTRACTOR -FIRM NAME - - Kretz Cmistruction, Im. ADDRESS - - 40-950 Starlight Lane C IpTTY,,,�/,,C��OO...M.,,,M,,..U� NN�yIIT..YY�/STATE/ZI P DC.113i ida Duras, CA P 3-460 4 343-4604 LICNC 313148 TOTAL FEE -ARC/ENG FIRM NAME - ADDRESS CITY/COMMUNITY/STATE/ZIP - PHONE n LICNC o USE OF PERMIT BL ZON FSB SSB SSB RSB OFC ZONE ORD LOT S2 I I I END SIDE CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if the permit is for one hundred ($100) o, less. ) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of - California. /•�/� (�,P r Date 10- Z % - i` 3 Applicant _ I -��- � C_ r ( 1 .�-��z•'�--_-/ NOTICE TO APPLICANT: If, after making this Certificat of E em -r-2 ltlt n you slioula become's—Ji bje ttto'the Workers: Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: At hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend; will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or ' demolition of dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3:2, Grp 2, Art 2, Sec341, TitleB C.A.C.) P%As, owner•buifder, I will not employ anyone to do work which would require a permit from the Division of -Industrial Safety, as noted above, unless such person has,a permit to do such work -from that division. ❑ Division of Industrial Safety Permit No. Date it. T..F Applicant kiF12 0( 1137, TiIdC. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction, lending agericyfor the performance . of the work for which this permit is issued (Sec. 3097, Civ. -C.): • " Lender's Name .Lender's Address I certify that I have read this application and state that the above information incorrect. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter=upon the above'metioned property for inspection purposes. 1 Z 7- Signature of Applicarit or Agenl" ` Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that . 'the information given is correct. I agree to comply with all state laws and county ordinances relating to buidling construction,. and authorize a' representative o: the City of La Ouinta Department of Building and Safety to enter . __upon the -property for,which I have applied for this permit foi.the purpose of making inspections. 1' _x a- /( , - .- 10•?7 3 Signature of Applicant or Agent- Date 7 v117 (� IC f2E7"7 Print Applicant/Agent Name APPUPRMT DATE 10-27-83 Cwb. Permit to oonstruct shaft fill-in of 1,850 Sq. Ft., Per approved plan. Mechanical Fee $ 48.00 Plan Check Fee 203.45 Canstructim Fee 317.17 Electrical Fee 44.12 ,Plumbing Fee 49.50 cc; IV M . nta rr. � f- A V' 7 u N Y TOTAL FEE $6,62.24 BLDG. DEPT. VALUATION $60,000.00 NO. OPERATION DATE 27 MECHANICAL APPROVALS BUILDING APPROVALS 1 Set Back 34 Plenums & Ducts 2 Ftgs & Frms 29B 2A Slab Grade 37 Combustion Air 3 Steel 32 4 Grout Blocks 40 Fire Damper 5 Bond Beams 6 Roof Deck 43 Final 7 Framing 117-9 1;10 8 Vents 9 Garage Fire Wall 10 Fireplace P.L. ❑ 10A Fireplace T.O. ❑ 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R" Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 lumb IS 16 Water Piping 17 Rough Plumb g 18 Vents 49 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final INSPECTOR NO. OPERATION DATE INSPECTOR 27 MECHANICAL APPROVALS 28 33 Ventilation System .29 34 Plenums & Ducts 29A 35 Furnace Compart. 29B 36 Inlets & Outlets 30 37 Combustion Air 31 I 38 Compressor 32 39 Appl. Clearance 40 Fire Damper 41 Smoke Detection Device... 42 Commercial Hood 43 Final OWN ADDITIONAL INFORMATION NO: CL ELECTRIC APPROVALS I 26 Power Pole 27 Conduit 28 Service Entrance .29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 I Service 32 Final SEWAGE SYSTEM SIZE & LOCATION Tank Pit L. Line STREET NAME REAR OF PROPERTY LINE of, ant TiN of Ott, I�uint�t, �uildin� r�n� �'r�fet��ibi�siun This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification BUILDING ADDRESS 78-401 B Hwy Ill Office Bldg. Permit No. 351 Group B2 Type Construction I VN Fire Zone Use Zone CPS Owner of Building Dr. Donald Cassaday Address 45-140. basis, City Indio, CA 92201 Tom Hartung. Y, April 10, 1984 Date; - Building Official POST 1i A *MirlCU6U3 PLACC N